Network Pricing Consultant - Remote

UnitedHealth Group•Columbia, MD

2h•$72,800 - $130,000•Remote

About The Position

At UnitedHealthcare, we’re simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts the lives of millions of people for the better. Come build the health care system of tomorrow, making it more responsive, affordable and optimized. Ready to make a difference? Join us in making healthcare work better for everyone through people-led, responsible AI while Caring. Connecting. Growing together. The successful candidate supports and validates Provider Network (physicians, hospitals, pharmacies, ancillary facilities, etc.) contracting and unit cost management activities through financial modeling, analysis of utilization, and reporting. They will also conduct unit cost and contract valuation analysis in support of network contracting negotiations and unit cost management strategies. Other duties include managing unit cost budgets, target setting, performance reporting, and being responsible for related financial models. This position will primarily support the East Region markets and is likely to be a telecommute arrangement. Challenge can often be its own reward. But why settle for just being challenged when you can also be nurtured, mentored, and supported in building an impact and fast paced career? With UnitedHealth Group you can have all of the above, every day. Here's your opportunity to combine expertise and compassion in new ways as you strike the balance between health care costs and resources. In this role, you'll ensure that health care contracts are priced accurately and fairly for all involved. If you are located in EST and CST working hours, you will have the flexibility to work remotely as you take on some tough challenges.

Requirements

Undergraduate degree in Math, Statistics, Finance, Economics or related field of study
4+ years of analytical experience in financial analysis, healthcare pricing, network pricing, healthcare economics or related discipline
Presentation experience to internal or external stakeholders or customers
Familiarity with interpreting and reviewing financial modeling results to evaluate the financial impact of contract changes and developing forecasts
Advanced level of proficiency in Microsoft Excel
Proven excellent financial impact analysis, risk management, and data manipulation skills
Proven excellent interpersonal, collaboration, negotiation, and communication skills
Proven ability to manage multiple projects simultaneously and meet deliverable deadlines
Proven ability to research and solve problems independently

Nice To Haves

Postgraduate degree in Math, Statistics, Finance, Economics or Actuarial Science
3+ years of experience with provider payment methodologies and healthcare products
Experience with MS Access, SAS and/or SQL
Experience with advanced statistical functions for financial modeling
Experience with medical coding (CPT, MSDRG, REV, ICD-10, etc.)
Knowledge of Commercial, Medicare, and Medicaid PPO and HMO revenue and expense, as well as delegation financial modeling

Responsibilities

Support network pricing strategies and tactics, in collaboration with local network field leaders and network managers
Analyze financial impact of provider contracts (e.g., facility; physician; ancillary)
Analyze payment appendices to provide options for various contracting approaches and methodologies
Communicate results of financial impact and analysis to appropriate stakeholder groups (e.g., Network Management, Network Pricing leadership)
Effectively summarize information while providing supporting data to a variety of audiences
Conduct financial and network pricing modeling, analysis and reporting
Peer review the analytical models of others
Perform unit cost and contract valuation analysis in support of network contracting negotiations and unit cost management strategies
Influence pricing strategies and rate development by highlighting opportunities for improvement or protecting favorable rate structures
Strategize with network management to create optimal contracts
Review competitive analysis to identify appropriate pricing rates for providers
Perform various ad hoc projects in a timely and accurate manner
Demonstrate a customer service mindset